Doctor Name: | MS. BO KYUNG EDWARDS |
NPI Number: | 1255462891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S./CCC-SLP |
License Number: | |
Business Practice Address: | 167 Locust St Spruce Pine, NC - 287772702 |
Business Phone Number: | 8283296010 |
Business Fax Number: | |
Mailing Address: | Po Box 953, SPRUCE PINE |
State: | NC |
Postal Code: | 287770953 |
Phone Number: | 8283296010 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |